| Douglas Clayton Mullins Ii & Angel Kaye Mullins, Dds, Pllc | |
|
613 Watauga St Suite E Kingsport TN 37660-4429 | |
| (423) 247-7741 | |
| Not Available |
| Full Name | Douglas Clayton Mullins Ii & Angel Kaye Mullins, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 613 Watauga St, Kingsport, Tennessee |
| Authorized Official Name and Position | Angel Mullins (OWNER / PARTNER) |
| Authorized Official Contact | 4232477741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Clayton Mullins Ii & Angel Kaye Mullins, Dds, Pllc 613 Watauga St Suite E Kingsport TN 37660-4429 Ph: (423) 247-7741 | Douglas Clayton Mullins Ii & Angel Kaye Mullins, Dds, Pllc 613 Watauga St Suite E Kingsport TN 37660-4429 Ph: (423) 247-7741 |
| NPI Number | 1396936316 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 09/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396936316 | NPI | - | NPPES |
| 5442137 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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